[Therapy of an advanced tumor of the upper jaw (case report)]

The authors present a T4 tumor situated on the left side of the upper jaw and showing an extraordinary development. It was a partially keratinizing squamous cell carcinoma which broke into the middle base of the skull and penetrated into the brain. By combined radiotherapy and chemotherapy, partly with 60Co gamma radiation, partly with photon and electron beams, a surgical treatment of the extensive primary tumor became possible. The formation of metastases within the lymph nodes of the neck was treated by preliminary irradiation and neck dissection. Two years after this combination therapy, the patient is still alive and does not present any symptoms.